IOWA SPEECH THERAPY, LLC (NPI# 1205132123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205132123 |
Entity Type | Organization |
Organization Name | IOWA SPEECH THERAPY, LLC |
Practice Address |
118 E Main St Suite B Anamosa IA 52205-1871 |
Mailing Address |
Po Box 425 Anamosa IA 52205-0425 |
Practice Telephone | 3195332916 |
Practice Fax Number | 3194620546 |
Mailing Telephone | 3195332916 |
Mailing Fax Number | 3194620546 |
Enumeration Date | 2011-02-10 |
Last Update Date | 2011-04-12 |
Authorized Official Name | MS. JACKIE RAE SUTHERLAND (SPEECH-LANGUAGE PATHOLOGIST/OWNER) |
Authorized Official Telephone | 3195332916 |
Authorized Official Credential | M.A., CCC-SLP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
001793 | IA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | MEDICARE PTAN | IB1873 | 01 |
Street Address |
118 E MAIN ST SUITE B |
City | ANAMOSA |
State | IA |
Zip Code | 52205-1871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770729329 | Jacqueline Rae Sutherland | Speech-Language Pathologist | 118 E Main St, Anamosa, IA 52205-1871 | 2009-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790251536 | Sarah M Koenighain | Occupational Therapist | 1209 E 3rd St, Anamosa, Anamosa, IA 52205 | 2018-10-19 |
1619455573 | Carrie Johnson | Counselor | 110 S Williams Street, Anamosa, IA 52205 | 2018-08-02 |
1518485739 | Samantha Marie Billings | Specialist/Technologist | 102 West Webster St., Anamosa, IA 52205 | 2017-09-08 |
1053850032 | Tyler Derosia | Specialist/Technologist | 409 Kaitlynn Ave, Anamosa, IA 52205 | 2017-02-23 |
1760939292 | Katelyn Price | Nurse Practitioner | 1795 Ia 64, Anamosa, IA 52205 | 2016-09-01 |
1508242983 | Brady W Hunt | Physician Assistant | 1791 Hwy 64 East, Anamosa, IA 52205 | 2015-08-07 |
1518369933 | Chong Shao | Dentist | 900 E 3rd St Ste A, Anamosa, IA 52205 | 2014-09-17 |
1457486409 | Prescription Shoppe, Inc | Durable Medical Equipment & Medical Supplies | 303 West Main Street, Anamosa, IA 52205 | 2007-02-22 |
1154499283 | Cynthia Lea Clough | Counselor | 405 East Main Street, Anamosa, IA 52205 | 2006-11-30 |
1972585966 | Anamosa Area Ambulance Service | Ambulance | 101 Grant Wood Dr, Anamosa, IA 52205-0000 | 2005-11-16 |
Find all providers in zip 52205 |
Taxonomy Code | 261QH0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Hearing and Speech |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710443445 | Northland Hearing Center, Inc. | Clinic/Center | 2401 4th St Sw Ste B, Waverly, IA 50677-4329 | 2019-02-19 |
1619444668 | Lutheran Retirement Home, Inc. | Clinic/Center | 700 10th St N, Northwood, IA 50459-1092 | 2018-10-29 |
1720564511 | Hearing Healthcare Centers LLC | Clinic/Center | 1011 Simms Ave, Council Bluffs, IA 51503-0579 | 2018-07-14 |
1295230803 | Clarity Speech Therapy, Pllc | Clinic/Center | 414 N 3rd St Ste 14, Fairfield, IA 52556-2466 | 2018-03-26 |
1043520497 | Accuquest Hearing Center | Clinic/Center | 220 W Salem Ave, Indianola, IA 50125-2421 | 2010-10-19 |
1760792113 | Accuquest Hearing Center | Clinic/Center | 1003 8th St Sw Ste J, Altoona, IA 50009-2350 | 2010-10-19 |
1689208084 | Midwest Dysphagia Diagnostics | Clinic/Center | 14452 280th St, Radcliffe, IA 50230-8018 | 2020-02-25 |
1821589656 | Northland Hearing Center, Inc. | Clinic/Center | 1704 W 1st St, Cedar Falls, IA 50613-1841 | 2018-05-29 |
1477937019 | Professional Hearing Services, Inc. | Clinic/Center | 1500 Center St Ne Ste 102, Cedar Rapids, IA 52402-5500 | 2015-07-14 |
1487881397 | Pacifica Health Services LLC | Clinic/Center | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2009-06-18 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.